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CHARacterizing Pediatric Integrative Medicine Within a Large Academic Medical Center (CHARM).

Varun Natarajan1, Samuel N Rodgers-Melnick1,2,3, David W Miller1,4,5

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Summary
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Pediatric integrative medicine (PIM) offers comprehensive care for children with chronic illnesses, integrating conventional and complementary therapies. This study describes PIM

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Area of Science:

  • Integrative Medicine
  • Pediatric Health
  • Chronic Illness Management

Background:

  • Conventional medical systems often fail to adequately address the complex health needs of pediatric patients with chronic illnesses.
  • Pediatric integrative medicine (PIM) presents an interdisciplinary approach, combining complementary therapies with conventional medicine for holistic care.
  • There is a growing demand for PIM, lifestyle-oriented care, and multimodal biopsychosocial interventions, yet limited data exists on its clinical implementation in academic settings.

Purpose of the Study:

  • To characterize the demographics and clinical profiles of patients receiving care in a physician-led PIM clinic.
  • To identify the range of interventions and treatments utilized within this PIM setting.
  • To describe the operational model of PIM within a major pediatric academic medical center.

Main Methods:

  • A retrospective review of 2677 outpatient PIM visits from March 2020 to September 2023.
  • Inclusion of 657 pediatric patients aged birth to 25 years.
  • Data extraction from electronic health records, including demographics, diagnoses, interventions, and supplements, followed by descriptive statistical analysis.

Main Results:

  • The patient cohort (mean age 12.24 years) was predominantly female (56%) and White (68%).
  • Commonly treated conditions included anxiety, fatigue, headaches, abdominal pain, constipation, nausea, vitamin D deficiency, myofascial pain, and depression.
  • Key interventions comprised dietary changes, myofascial self-care, massage therapy, acupuncture, pacing, sleep hygiene, and exercise, alongside supplements like probiotics, vitamin D, and Chinese herbs.

Conclusions:

  • PIM effectively delivers whole-person, integrative care for pediatric patients with complex conditions within an academic medical center.
  • The clinic's structure supports integrated services, meeting the demand for comprehensive healthcare solutions.
  • Further research with standardized metrics is essential to evaluate PIM's clinical efficacy.